Individual
BROOKE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9256 BENDIX RD, STE 105,106, COLUMBIA, MD 21045-1840
(410) 796-8499
Mailing address
PO BOX 1343, CLARKSTON, MI 48347-1343
(410) 796-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-011481-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019331860001
—
PA
Enumeration date
03/07/2007
Last updated
06/30/2016
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